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Permit CITY OF TIGARD PLUMBING PERMIT NI 2 • COMMUNITY DEVELOPMENT Permit PLM2012 -00250 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/28/2012 Parcel: 2S109AB12600 Jurisdiction: TIGARD Site address: 14188 SW ALPINE CREST WAY Project: Lennar Homes Subdivision: ALPINE VIEW Lot: 7 Project Description: (1) backflow preventer Contractor: ASHLAND BROTHERS LANDSCAPES Owner: LENNAR NORTHWEST INC 2153 MOLALLA HIGHWAY 12013 NE 99TH ST #1650 WOODBURN, OR 97071 VANCOUVER, WA 98682 P PHONE: 360 - 258 -7900 PHONE: 503 - 981 -6131 FAX: 503 - 981 -1058 FEES Quantity Description Date Amount 1 ea Backflow Preventer 08/28/2012 $31.27 Specifics: 1 12% State Surcharge - 08/28/2012 $8.70 Plumbing Type of Use SF 41 ea Minimum Fee Adjustment - 08/28/2012 $41.23 Plumbing Class of Work: OTR • Type of Const: Occupancy Grp: Stories: Total $81.20 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. _ ,I_____Lige t___ Issued By: Permittee Signature: oil 'rCpp /� TT l/I /� i /l 6' 1 Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection. Ashland Brothers Lan c 503- 981 -1058 p.2 Plumbing Permit Applicatio � E CEIVE I: Site Utilities AUG 2 8 2012 FOR OFFICE USE ONLY City of Tigard Received P ura" No.: i0 ca 13125 SW Hall Bhd., Tigard, OR 972 T9/ of -TIGARD Plan Review IGAR® Date/By (?- �T �� `�� I Phone: 503.718.2439 Fax: 503.5 1 1 VI DING Date/Ry: Other Permit No.: TIGARD Inspection Line: 503 i J l f�L? �/IS aj Rit Read is: E See Page 2 for Internet: www.11gard or.gov Nati ficd/Med ' wd: t Supplemental Information TYPE OF WORK FEE` SCHEDULE ® New construction 0 Demolition For special information use checklist. Description I Qty. I Ea. I Total ❑ Addition/alteration/replacement ❑ Other. New 1- 2- family dwellings (includes 100 ft. for each utility connection) . CATEGORY OF CONSTRUCTION . ' SFR (I) bath 312.70 ® 1- and 2- family dwelling ❑ Commercial /industrial SFR (2) bath 437.78 ❑ Accessory building ❑ Multi SFR (3) bath 500.32 Each additional bath/kitchen 25.02 ❑ Master builder ❑ Other: Fire sprinkler ( sq. ft.) Page 2 JOB SITE INFORMATION AND LOCATION Site utilities: Job site address: 14188 SW ALPINE CREST WAY Catch basin or area drain 18.76 City /State/ZIP: TIGARD OR 97224 Dry well. leach line, or trench drain 18.76 Footing drain (no. linear ft.: Page 2 Suite/bldg. /apt. no.: Project name: Manufactured home utilities 50.03 Cross street/directions to job site: SW 134TH Manholes IA.76 Rain drain connector 18.76 Sanitary sewer (no. linear ft.: ) Page 2 Storm sewer (no. linear ft.: ) Page 2 • Water service (no. linear ft.: ) Page 2 Subdivision: ALPINE ESTATES I Lot no.: 6 Fixture or item: Tax map/parcel no.: Backflow prevcntcr I 31.27 31.17 DESCRIPTION OF WORK Backwater valve 12.51 IRRIGATION Clothes washer 25.02 Dishwasher 25.02 Drinking fountain 25.02 Ejectors/sump 25.02 ® PROPERTY OWNER ❑ TENANT Expansion tank 12.51 Name: LENNAR HOMES Fixture/sewer cap 25.02 Address: 2103 NE 129 ST Floor drain floor sink/hub 25.02 Garbage disposal 25.02 City/State/LIP: VANCOUVER WA 98686 Hose bib 25.02 Phone: (360)2587900 ' Fax: (360)2587901 Ice maker 12.51 ❑ APPLICANT ❑ CONTACT PERSON interceptor /grease trap 25.02 Business name: Medical gas (value: $ ) Page 2 Contact name: - Primer 12.51 Roof drain (commercial) 12.51 Address: - • Sink/basin/lavatory 25.02 City /State/ZIP: Solar units (potable water) 62.54 Phone: ( ) Fax:: ( ) Tub /shower /shower pan 12.51 E -mail Urinal 29. CONTRACTOR Water closet 25.02 Water heater 37.52 Business name: ASHLAND BROTHERS LANDSCAPE Water piping/DWV 56.29 Address: 2153 MOLALLA Ri) Other: 25.02 City/State/ZIP: WOODBURN OR 97071 Subtotal 31.27 Phone: (503) 849 -2531 Fax: (503) 981 -1058 Minimum permit fee: $72.50 72.5 CCB Lic.: LCB; 7174 _ Phu tl'� b nglic. no.: Plan review (25% of permit fee) 0 State surcharge (12% of permit fee) 8.7 Authorized signature c TOTAL PERMIT FEE 81.2 Print name: TOM ASHLAND I Date: 08 /28/2012 This perndt application expires If a permit is not obtained within ISO days after it has been accepted as complete. 'Fee methodology set by Tri -Cowry Building Indtrary Service Board. I NiuikIbi JAvrmii,tM.MU- PermnApp.dne MI AS) 44040 ler( I imvicosi'wltn) CITY OF TIGARD PLUMBING PERMIT NI 2 • COMMUNITY DEVELOPMENT Permit PLM2012 -00250 TIGARD 13125 SW Hall Blvd., Tigard OR 97223 503.718.2439 Date Issued: 08/28/2012 Parcel: 2S109AB12600 Jurisdiction: TIGARD Site address: 14188 SW ALPINE CREST WAY Project: Lennar Homes Subdivision: ALPINE VIEW Lot: 7 Project Description: (1) backflow preventer Contractor: ASHLAND BROTHERS LANDSCAPES Owner: LENNAR NORTHWEST INC 2153 MOLALLA HIGHWAY 12013 NE 99TH ST #1650 WOODBURN, OR 97071 VANCOUVER, WA 98682 P PHONE: 360 - 258 -7900 PHONE: 503 - 981 -6131 FAX: 503 - 981 -1058 FEES Quantity Description Date Amount 1 ea Backflow Preventer 08/28/2012 $31.27 Specifics: 1 12% State Surcharge - 08/28/2012 $8.70 Plumbing Type of Use SF 41 ea Minimum Fee Adjustment - 08/28/2012 $41.23 Plumbing Class of Work: OTR • Type of Const: Occupancy Grp: Stories: Total $81.20 Required Items and Reports (Conditions) This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180 days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR 952 - 001 -0010 through OAR 952 - 001 -0090. You may obtain a copy of the rules or direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344. _ ,I_____Lige t___ Issued By: Permittee Signature: oil 'rCpp /� TT l/I /� i /l 6' 1 Call 503.639.4175 by 7:00 a.m. for the next available inspection date. This permit card shall be kept in a conspicuous place on the job site until completion of the project. Approved plans are required on the job site at the time of each inspection.